24D1037032 CLIA NUMBER - RIDGEVIEW EXCELSIOR CLINIC

Laboratory Demographics

  • CLIA Code: 24D1037032
  • Facility Name: RIDGEVIEW EXCELSIOR CLINIC
  • Facility Address: 675 WATER STREET
    EXCELSIOR, MN
    ZIP 55331
  • Facility Phone: 952 906-7855
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: NICHOLE ULRICH
  • NPI Number: 1689725392
  • Taxonomy: 207Y00000X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1037032
LAB Type Community Clinic
Facility Name RIDGEVIEW EXCELSIOR CLINIC
Street 675 WATER STREET
City EXCELSIOR
State MN
ZIP 55331
Phone 952 906-7855
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Community Clinic
Lab Director NICHOLE ULRICH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025